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Dr. Michael D Lieb, DO
Vascular Surgery Physician in Hainesport, New Jersey
NPI 1609024447

Michael D Lieb is a Vascular Surgery Physician based in Marlton, NJ and is specialized in Vascular Surgery. Michael D Lieb practices in Hainesport, NJ and has the professional credentials of DO. The NPI Number for Michael D Lieb is 1609024447 and holds a License No. (New Jersey).

The current practice location address for Michael D Lieb is 212 Creek Crossing Blvd, Hainesport, NJ and can be reached out via phone at 609-267-1004 and via fax at 609-267-1044.

Location: 212 Creek Crossing Blvd, Hainesport, NJ, 08053-4197
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609024447
Provider Name
Michael D Lieb
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
212 Creek Crossing Blvd, Hainesport, NJ, 08053-4197
Phone Number
609-267-1004
Fax Number
609-267-1044
Provider Enumeration Date
09/05/2008
Last Update Date
11/16/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0422185 05 NJ
institution
Provider Business Practice Location Address Details
Address
212 Creek Crossing Blvd
City
Hainesport
State
New Jersey
Zip
08036-2766
Phone Number
609-267-1004
Fax Number
609-267-1044
person
Provider Business Mailing Address Details
Address
212 Creek Crossing Blvd
City
Hainesport
State
New Jersey
Zip
08036-2766
Phone Number
609-267-1004
Fax Number
609-267-1044
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
2086S0129X
License No.
25MB09114300 (New Jersey)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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